Here's how to do the test:
Find your pulse at your wrist (the radial artery) or at your carotid artery in your neck.
Using your index and middle finger, count the number of beats you feel in 10 seconds. ...
Multiply the number of beats you count in 10 seconds by six to find the number of beats per minute.

Have you ever tried to diet before (this means to restrict calories/food in order to lose weight)?*

Please list ALL of the diets that you can remember trying before, and if possible, the duration that you attempted these diets for. This will give me an idea of your metabolism and how reactive your body might be to what we are trying to do together!

Tell me about 3 things that you love to do, that make you feel happy... (hobbies/passtimes)*

Daily activity level*

Sedentary

Little incidental movement

Walk every day

On feet all day

Active job but no active hobbies

Train every day + sedentary job

Train every day + active job

Select the option closest to your reality

Have you ever found exercise enjoyable?*

Yes

No

What was the exercise that you enjoyed?*

If none, simply type NONE into the box

Is it in your budget to schedule in some TLC activities?*

Yes

No

For example: deep tissue massages, sauna time, manicure, pedicures (anything that you can do to take care of your body that adds up long term to better health). Other activities that do not cost anything include: watching comedy, cuddles, gentle walking, gentle stretching/yoga

Have you suffered with any serious illness OR infections, at any time in your life? (if no, just write NONE) AND have you ever been hospitalised for extended periods?

What country were you born in?*

Have you ever lived in another country? If so, where?*

What is your ethnicity?*

Were you born naturally?*

Natural birth

Cesarean

Were you breast fed?*

Breast fed

Bottle fed

Were you vaccinated as a child?*

Vaccinated

Not vaccinated

State any vaccinations or type NONE*

Did you receive antibiotics as a child?*

Yes

No

Do you take antibiotics regularly as an adult?*

Yes reguarly

No never

Yes occasionally

Do you have any of these symptoms?*

Bags under eyes

Dull skin

Spotty skin

Flaky or dry skin

Acne

Brittle hair

Hair that does not grow

Brittle nails

Peeling around the nails

None of the above

Check all that apply

Do you have any of these gut symptoms?*

Gas

Bloating

Diarrhoea

Brain fog

Energy crash after eating

Tummy cramps/pains

Gut distress of any kind

IBS

Sudden need to pass stool after eating

None of the above

Check all that apply

Do you have any of these symptoms on a regular basis?*

Muscle cramps

Muscle twitches

Joint pains

Reoccurring injuries

Multiple one off injuries

None of the above

Check all that apply

Please go into detail if you suffer with joint pain or joint injuries. Type N/A otherwise*

Please check the box that best describes your sleep habits*

Sleep well and deeply through the night

Struggle to get to sleep but sleep through once asleep

Struggle to get to sleep and wake up in the night

Get to sleep fine, but wake up randomly in the night

Get to sleep fine and wake up at the same time in the night

Insomniac

Mixture of all of these conditions

None of these conditions

Please state your bed time*

How many hours of sleep would you say you have generally*

1-4

5

6

7

8

9+

Please describe your typical evening routine*

Select a choice that most describes you in the morning*

Jump out of bed feeling ready for the day

Struggle to get up but feel ok when I do

Need COFFEE COFFEE COFFEE

Do you have any allergies?*

Peanuts

Gluten

Wheat

Dairy

Soy

Fruit/fructose

Fish

Shellfish

Other

None

Is your circulation good or bad? (bad circulation would be indicated by having cold hands or feet)*

Good

Bad

Not sure

How would you describe your energy levels day to day on a scale of 1-10?*

Very low energy 1-3

Low energy 4-5

Moderate energy 6-7

High energy levels 8-10

How many days does your menstrual cycle last for?*

1 off days of random bleeding

2

3

4

5

6

7

I do not have a menstrual cycle I am in the menopause

I do not have a menstrual cycle due to amenorrhoea

I do not have a menstrual cycle because I am a male

I do not have a menstrual cycle because I am on contraceptive implant

I do not have a menstrual cycle because I have the copper coil

Are you in the menopause*

Yes

No

Soon within 1-3 years

Pre menopause (confirmed by a doctor)

Are you struggling with any of the following menopause symptoms?*

Back ache

Head aches

Hot flushes

Thicker/darker body/pubic hair

Osteoporosis

Brittle hair

Breasts dropping

Flatter nipples

Drier/rougher skin

Stress related incontinence

Vaginal dryness/itching

None of the above

N/A

Do you take any supplements?*

Yes

No

Not sure

Please list any supplements that you take and WHY you take them*

If you do not take any supplements simply type NONE

Do you suffer from mood swings where you lash out at others that you care about, or at yourself with self sabotaging behaviours like binge eating or drinking?*

Yes

No

Do you have children*

Yes

No

Do you have time for yourself where you relax and do nothing? (without your phone and laptop etc and including meditating, breathing, praying etc)*

Yes every day

Yes every other day

Yes perhaps once per week

No

Have you had any major changes in your lifestyle in the last 1-4 years? (moving house, babies, job changes, extreme diets, extreme exercise changes, extreme stress etc?)*

Do you smoke?*

Yes

No

Smoking may limit the effects of fitness that we are trying to achieve, it would be my recommendation that you look to reduce your consumption over the next weeks/months.

How much alcohol do you drink per week? Please check the box most relevant to you!*

None

1-2 units

3-4 units

5-6 units

I drink every day

I drink a large amount every weekend

Alcohol may limit the effects of fitness that we are trying to achieve, it would be my recommendation that you look to reduce your consumption over the next weeks/months.

Please take a look at the Bristol Stool Scale (click on link at the bottom of the page) and select which type is most relevant to you*

Type 1 (very constipated)

Type 2 (slightly constipated)

Type 3 (normal)

Type 4 (normal)

Type 5 (lacking fibre)

Type 6 (inflammation)

Type 7 (inflammation)

How often do you typically pass stool?*

Every day

Every other day

2 times per week at random

Once per week

There is no pattern

Please upload a photo selfie of your face so that we might compare the condition of your skin month to month

This is not a required field in this form, however it will be a useful and interesting comparison if you are comfortable submitting this to me

Thank you for filling out this questionnaire honestly and to the best of your knowledge. By ticking this box you are confirming that to the best of your knowledge the information that you have provided today is correct. Should you information change or if you recall anything differently, it is your responsibility to inform Rossell Fitness of this change in order to receive the most relevant service.*

Confirmation

Please make sure that you have filled in ALL of the boxes with the correct information, if you have missed a box, the form will not submit.Once you click the submit button, there might NOT be a page that says 'submitted', don't worry if nothing pops up, your form will be emailed directly to me as long as you filled in all of the boxes and clicked on submit at least once! Thanks for fill in my form and I will be in touch very soon!You will get a personalised action plan based on the results of this questionnaire, please give up to 5-7 days for this to be developed for you